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General NPI Number Information
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NPI Number | 1457812091
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Entity Type | Individual
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Provider Name | JASHANJOT SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 15059 N SCOTTSDALE RD STE 600
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2685
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Country | US
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Telephone | 602-778-3651
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LOOKOUT CT
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City | HERCULES
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State | CA
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Zip | 94547-1977
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.145484
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License Number State | OH
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